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Full text of "Navy and Marine Corps Medical News October 2009"

NAVY MEDICINE 

World Class Care, .Anytime, Anywhere 



Issue 10 
October 9, 2009 

Inside this Issue : 

Admiral's Call by the Surgeon 
General of the U.S. Navy 
Vice Admiral Adam M. 
Robinson, Jr. 



Navy's Top Officer Presents Purple 3 
Heart 



Naval Hospital Bremerton Sailors 
Challenge Themselves to Benefit 
the Battle Wounded 



Marines, Sailors Bring Aid to 
Philippines 



Chief Receives Anchors in 
Afghanistan 



HM1 Schaefer Bureau of Medicine 6 
and Surgery Sailor of the Quarter 



Bureau of Medicine and Surgery 
Honors Ombudsman 
Appreciation Day 




Did you Know... 



Most people with concussion or mild 
TBI recover fully without any clinical 
consequences. In OIF and OEF, over 
10,000 Sailors and Marines have suf- 
fered a TBI; 87% of military TBI cases 
have been mild concussions. 

In FY 09, over 1000 Navy health care 
providers received TBI education. 

Education is the key to informing 
service members and their families 
that most concussions will resolve. 



Navy and Marine 
Corps Medical News 

A Public Affairs Publication of the Bureau of Medicine and Surgery 

SECNAV Visits, Presents Bronze Star, 
Purple Heart to Wounded SEAL 



By Chief Mass Communication 
Specialist (SW) Jeremy L. Wood, 
Naval Special Warfare Group 1 
Public Affairs 

SAN Dl EGO - Secretary of the 
Navy Ray Mabus awarded the 
Bronze Star Medal with Valor and a 
Purple Heart to a Navy SEAL at the 
National Medical Center in 
Bethesda, Md. f Oct. 1. 

Shaking hands with the 
wounded West Coast-based SEAL, 
Mabus talked with Lt. Daniel 
Cnossen, who recently came out of 
another surgery, about his 
treatment and expressed 
encouragement to a speedy 
recovery. 

Cnossen, who was presented 
the awards for his actions in 
combat operations in Afghanistan, 



is no stranger to a challenge or 
perseverance. 

His "never given up, never 
stopped fighting" attitude was 
evident in his hospital room. 
Cnossen insists that this tragedy 
should not deter Naval Special 
Warfare (NSW) members, and U.S. 
military "from aggressively pursuing 
the enemy." 

The West Coast- based SEAL was 
severely injured Sept. 7 on a hilltop 
by an improvised explosive device 
(I ED) during the mission and was 
saved by the immediate medical 
assistance rendered by the team 
corpsman. Together, they 
navigated down the hill, 
encountering more secondary lEDs. 
Later, team members were quickly 
evacuated by helicopter. Though 

(Continued on page 3) 




BETHESDA, Md. - Secretary of the Navy (SECNAV) the honorable Ray Mabus awards the 
Bronze Star with Valor medal and a Purple Heart medal to Navy SEAL Lt. Dan Cnossen at the 
National Medical Center in Bethesda, Md., Oct. 1, 2009. Cnossen was wounded by an impro- 
vised explosive device in Afghanistan. (U.S. Navy photo by Mass Communication Specialist 2nd 
Class Kevin S. O'Brien/Released) 



Issue 10 
October^ 



Page 2 



Admiral's Call by the Surgeon General of the U.S. Navy 
Vice Admiral Adam M. Robinson, Jr. 



There is no greater responsibility than caring for our 

Wounded Warriors. It is what we do and why we exist 

It is our duty - it is our honor - it is our privilege. 



When our Warriors go into 
harm's way, we in Navy Medicine 
go with them. At sea or on the 
ground, Sailors and Marines know 
that the men and women of Navy 
Medicine are by their side ready to 
care for them. There is a trust and 
fidelity that has been earned over 
years of service together, and make 
no mistake, today that bond it is 
stronger than ever. Our mission is 
to care for our wounded, ill and 
injured, as well as their families. 
That's our job and we are fortunate 
to have this opportunity to care for 
our shipmates and their families. 

Today we are experiencing the 
historically high survival rates - 
with some 95% of seriously injured 
service members surviving their 
wounds. This progress underscores 
advances in casualty care and 
technology, but more importantly, 
it underscores our people providing 
outstanding care. The continuum 
of care we provide for our 
warfighters begins in the field with 
buddy aid and our corpsmen, most 
often in very austere and hostile 
conditions, moves through forward 
resuscitative care, theatre level 
care, definitive care and culminates 
in restorative care and 
rehabilitation. 

As our Wounded Warriors return 
from combat and begin the healing 
process, they deserve a seamless 
and comprehensive approach to 
their recovery. We want them to 
mend in body, mind and spirit. 
Our focus is multi-disciplinary- 
based care, bringing together 
medical treatment therapies, social 
work, case management, 
emotional, psychological and 
spiritual chaplaincy resources. We 
are working closely with our line 
counterparts within the Wounded 
Warrior Regiments and Safe Harbor 
to support the full-spectrum 
recovery process for Sailors, 



Marines and their families. This 
is truly patient and family- 
centered care. 

While there are many significant 
injury patterns in theatre, an 
important focus area for all of us 
remains Traumatic Brain Injury 
(TBI). In previous columns, I have 
indicated to you that TBI is often 
referred to as the signature injury 
from Operation ENDURING 
FREEDOM (OEF) and Operation 
IRAQI FREEDOM (OIF). This is 
largely a result of explosive blasts 
from Improvised Explosive Devices 
(lEDs). The majority of TBI injuries 
sustained by our warfighters is 
categorized as mild, or in other 
words, a concussion. Yet, there is 
much we don't know about these 
injuries and their long-term 
impacts on the lives of our 
service members. 

The relative lack of knowledge 
about mild TBI amongst service 
members and healthcare personnel 
represents an important gap that 
Navy Medicine is seriously 
addressing. We are providing TBI 
training to healthcare providers 
from multiple disciplines throughout 
the fleet. This training is designed 
to educate personnel about TBI, 
introduce the Military Acute 
Concussion Exam (MACE) as a 
screening tool for concussion, 
inform providers about the 
Automated Neurocognitive 
Assessment Metric (ANAM) test and 
identify a follow-up for assessment 
including use of a repeatable test 
battery for identification of 
neuropsychological status. We are 
expanding our TBI program office 
to manage the implementation of 
the ANAM as a pre-deployment test 
for service members in accordance 
with DoD policy. This office will 
further develop models of 
assessment and care as well 
as support research and 




evaluation programs. 

I want you to know that Navy 
Medicine is employing a strategy 
that is both collaborative and 
integrative by actively partnering 
with the other Services, DoD 
(including the Defense Center of 
Excellence for Psychological Health 
and Traumatic Brain Injury), the 
Veterans Administration, and 
leading academic, medical and 
research centers to make the best 
care available to our Warriors 
suffering with TBI. I bring this to 
your attention again because this is 
an important priority for all of us in 
military medicine and I need your 
support as we enhance our 
capabilities to prevent, detect 
and treat TBI. 

I know of no greater honor than 
caring for our wounded, ill and 
injured. They are heroes. We, who 
are fortunate enough to care for 
them, understand this 
responsibility. Please remember the 
personal sacrifices these women 
and men have made and do your 
best to provide them with the world 
class care they expect. I am proud 
of the tremendous care you are 
providing as I visit you and your 
commands throughout the world. 
The extraordinary commitment 
you are demonstrating each day is 
remarkable and you are making 
a difference in the lives of our 
Wounded Warriors and 
their families. 



Issue 10 
October 9, 



Page 3 



Navy's Top Officer Presents Purple Heart 



By Mass Communication Specialist 2nd Class (SW) 
Rebekah Blowers, Chief of Naval Operations 
Public Affairs 

WASHI NGTON- The chief of naval operations (CNO) 
presented the Purple Heart to a Navy commander in the 
Pentagon Sept. 11. 

Adm. Gary Roughead, CNO, presented the medal to 
Cmdr. Kim M. LeBel, Nurse Corps, for wounds received 
in action during her individual augmentee assignment 
in Afghanistan. LeBel was a medical-embedded training 
team nurse assigned to an Afghan National Army 
Regional Hospital in Mazar-e Sharif when she was 
ambushed by enemy fire while performing routine 
physical fitness with friends. 

While in Afghanistan, LeBel provided training to the 
Afghan National Army, improving the quality of health 
care provided in Afghan Army hospitals. 

Roughead said she is part of an expeditionary Navy 
medical team that has 1,044 people in the fight on the 
ground in Iraq and Afghanistan. 

"This is a great honor to be able to present a Purple 
Heart to one of us who has served and who has 
sacrificed in the current fight that we're in," Roughead 
said. "Thank you on behalf of the Commander-in-Chief 
and the Navy for what you have done, for your service, 
for your sacrifice, your courage, then and now, and the 
example that you set." 

CNO said it was fitting for him to present LeBel 
the award on the anniversary of Sept. 11, and that it is 
important to remember the sacrifices made by our 
service members in support of the Navy and 
the nation. 

"She represents that sacrifice that our young men 




WASHINGTON- Chief of Naval Operations (CNO) Adm. Gary 
Roughead presents the Purple Heart medal to Cmdr. Kim LeBel for 
wounds received in action during her individual augmentee 
assignment in Afghanistan, Sept. 11, 2009. (U.S. Navy photo by 
Mass Communication Specialist 1st Class Tiffini Jones Vanderwyst/ 
Released) 



and women make every day, they willingly volunteer to 
go forward to help other countries become something 
that their citizens need and that their citizens want," 
Roughead said. 

Label, safely at home, is recovering with the assistance 
of the Safe Harbor program which provides Sailors, Coast 
Guardsmen, and their families a beacon of hope through 
non-medical support following a serious illness or injury. 



SEAL Continued... 

(Continued from page 1) 

he lost large quantities of blood and 
received severe injuries leading to 
the amputation of both legs at the 
knees, Cnossen continued to direct 
his teammates and assess the 
tactical situation. 

Cnossen's team assaulted the 
compound to discover several 
thousands of pounds of narcotics, 
small arms weapons, and lEDs, to 
include components such as 
warheads, detonation materials, 
bulk explosive and four tons of 
ammonium nitrate, a fertilizer used 
in explosives devices. 

He was transported to 
Landstuhl, Germany, for more 
specialized medical assistance, and 
then continuing on to Bethesda. 

His sister, Leslie, has given up 



her job at New York University as a 
nurse to move to Washington, D.C., 
to take care of Cnossen. His mother 
also made commutes from Kansas 
to be with him in Maryland. 

"Dan is in good spirits and is 
already formulating a plan for 
recovery," said his mother, Alice 
Landers. "He's climbed Machu 
Picchu and hiked Patagonia's Torres 
del Paine, so you can bet he'll 
attack his recovery plan with the 
same unbelievable resolve." 

Upon arrival, Cnossen was 
immediately met by family and 
teammates who had been flown in 
by the NSW Foundation to provide 
the physical and emotional support 
necessary to begin recovery. 

On his blog, Leslie continues to 
write about her brother staying 



"perky and cracking jokes all the 
time. That I ED certainly didn't take 
away his sense of humor." 

He has progressed along his 
recovery, including the ability to 
swallow and drink on his own 
accord, ahead of the doctors' 
original milestones. Doctors have 
adjusted his surgery schedule to 
keep up with his recovery. 

His brothers from the SEALs 
echoed there excitement via blog 
posts, even providing a virtual 
salute to his health. 

"His spirit and determination will 
always serve as an example for us 
all," said one of Cnossen's close 
friends. 

Wally Graves III, the Resiliency 

(Continued on page 7) 



I Issue 10 
Octobers 



Page 4 



Naval Hospital Bremerton Sailors Challenge Themselves 
to Benefit the Battle Wounded 



By Mass Communications Specialist 
1st Class Charlemagne Obana, 
Naval Hospital Bremerton 

BREMERTON, Wash.- Staff 
members from Naval Hospital 
Bremerton enhanced their physical 
readiness training and benefited 
others by participating in a yearly 
Crossfit experience over the 
weekend. 

Hospital Corpsman 1st Class 
Adam Cerullo, Hospital Corpsman 
2nd Class Lawrence Duran, and 
Hospital Corpsman Jason Kirkendall 
competed in 'Fight Gone Bad,' an 
annual worldwide Crossfit event 
which has raised over $1 million 
this year alone to benefit non-profit 
organizations, Wounded Warriors 
Project and Athletes for a Cure. 

"Participating in any event to 
benefit our wounded warriors, 
regardless of the branch you belong 
to, should be incentive enough to 
participate in this event," said 
Cerullo. "Crossfit is just another 
means for us to get together and 
get a great workout motivating 
each other." 

For the uninitiated, Crossfit is a 
relatively new exercise 
phenomenon that combines three 
exercise disciplines: gymnastics, 



traditional cardio workouts and 
Olympic-style weightlifting. Key to 
the workouts is incorporating 
numerous physical fitness aspects 
such as cardiovascular conditioning, 
strength, flexibility, coordination, 
and agility that make the person 
continually have to adapt too 
effectively and efficiently handle 
the workload to get the most out 
of the routine. 

The 'Fight Gone Bad' Crossfit 
challenge was held at Kitsap 
Crossfit in Poulsbo, WA. and 
consisted of three, five-minute 
rounds of five events in which the 
individual tries to perform a 
maximum amount of repetitions or 
burn the most calories with a 
one- minute rest period at the end 
of each round. Event exercises 
included were 20 pound medicine 
ball thrown against a target at a 
height of 10 feet; sumo dead lift 
high-pull of a 75 pound weight; Box 
J ump a height of 20 inches; 
Push-press a weight of 75 pounds; 
and rowing machine. 

"The Wounded Warriors Project 
is a fantastic organization that 
provides very important and 
needed assistance to our service 
men and women who have been 



severely wounded," said Dan 
Hollingsworth, formerly a Navy 
Lieutenant and physical therapist 
while on active duty who has 
continued his career- path as a 
physical therapist along with 
co-owning Kitsap Crossfit with his 
wife, Amy Hollingsworth. 
"Supporting this organization is a 
great way to show our service men 
and women that we truly appreciate 
the sacrifices they have made and 
continue to make." 

"I will definitely share the 
knowledge I've gained from this 
event and from Crossfit with my 
fellow Sailors," said Cerullo, leading 
petty officer in physical therapy at 
NHB and a command fitness leader. 
"It's all about getting a good 
workout partner watching out for 
you and providing a controlled 
atmosphere where your workout 
can be intensified and effective and 
at the same time not cause any 
injury." 

As with any fitness program, 
service members should consult 
with their medical service provider 
and command fitness leader for 
guidance and advice before 
beginning a training regiment. 



SAN Dl EGO —U.S. Army Gen. David 
Petraeus, the commander of U.S. Cen- 
tral Command, speaks to wounded 
Soldiers, Sailors and Marines during 
his visit to Naval Medical Center San 
Diego in San Diego, Calif., Sept. 4, 
2009. While at the center, Petreaus 
visited the Comprehensive Combat 
and Complex Casualty Care facility, 
which aids severely wounded or ill 
patients from medical evacuation 
through inpatient care, outpatient 
rehabilitation and either a return to 
active duty or transition from the 
military. (DoD photo by Mass 
Communication Specialist 3rd Class 
Jake Berenguer, U.S. Navy/ Released) 




Issue 10 
October 9, 



Page 5 



Marines, Sailors Bring Aid to Philippines 



Office of the Secretary of Defense Public Affairs 

MARI NE CORPS BASE CAMP BUTLER, J apan 

The U.S. military is providing critically needed 
disaster- relief supplies to mitigate suffering and 
prevent further loss of life in the wake of Tropical 
Storm Ketsana, which struck the Philippines on 
Sept. 25. 

"Marines and sailors are working with the Philippine 
government to rapidly deliver humanitarian assistance 
and disaster relief to the areas the Philippine 
government deems most in need," said Marine Corps 
Lt. Col. Douglas Powell, spokesman for the 3rd Marine 
Expeditionary Force. 

U.S. military personnel are delivering relief supplies 
to remote areas by way of air and ground, providing 
limited medical and dental care and establishing 
long-range communication capabilities for relief efforts. 

A team of about 100 3rd MEF Marines flew from 
Okinawa to the Philippines Sept. 29 to assess the 
situation. The next day, U.S. Navy ships USS Denver, 
USS Tortuga, and USS Harpers Ferry, with 
embarked Marines and sailors of the 31st Marine 
Expeditionary Unit, set sail from Okinawa toward 
the Philippines. 

Oct. 1, Marine Corps Brig. Gen. Mark A. Brilakis, 
commander of the 3rd Marine Expeditionary Brigade, 
flew to the Philippines from Okinawa to lead planning 
and humanitarian assistance efforts. 

Medical personnel attached to the MEU set up a 
medical civil affairs program at an elementary school 
in Marikina City that provided care for more than 760 
medical and dental patients. A food-distribution 
mission provided more than 2,400 meals for 




MANILA, Philippines - Medical personnel assigned to Joint Special 
Operations Task Force- Philippines assist a woman in labor during relief 
efforts after flooding destroyed homes in Manila, Sept. 19, 2009. U.S. 
Navy Sailors delivered medical supplies, food, and rescued more than 52 
people in Manila. (U.S. Navy photo by Lt.j.g. Theresa Donnelly/Released) 



Quezon City residents. 

C-130 Hercules transport aircraft from the 1st Marine 
Aircraft Wing already have delivered humanitarian relief 
aid to the region. U.S. forces temporarily deployed in 
Zamboanga provided 20 personnel, a helicopter and four 
Zodiac inflatable boats to move food and medical supplies 
and conduct initial rescue operations in the Manila area. 

A 3rd MEF humanitarian assistance support team will 
arrive today to assess the operation and request additional 
support the areas hardest hit by the storm may need. 




BETHESDA, Md.— Master 
Chief Petty Officer of the 
Navy (MCPON) Rick West 
meets with U.S. Marine 
Lance Cpl. Jeremy Terry 
during a visit to National 
Naval Medical Center, 
Bethesda, Oct. 6, 2009. 
(U.S. Navy photo by Mass 
Communication Specialist 
1st Class Jennifer A. 
Villalovos/ Released) 



I Issue 10 
October 9, 



Chief Receives Anchors in Afghanistan 



By Douglas Stutz, Naval Hospital 
Bremerton Public Affairs 

KANDAHAR, Afghanistan - A 

Sailor from Naval Hospital 
Bremerton currently deployed as an 
individual augmentee assigned to 
the Canadian-led Role 3 Multina- 
tional Medical Unit, a NATO trauma 
center, received her anchors along 
with four others at Kandahar Air 
Field (KAF) in Afghanistan Sept. 16. 

"I didn't believe it when I was 
first told and had to check for 
myself," said Chief Hospital 
Corpsman Julie Jorgensen, who has 
spent half of her 16 years assigned 
to NHB. "Now that I am a chief, I'll 
continue to be committed to excel- 
lence on the job, and by training 
and taking care of our Sailors." 

The CPO Induction process was 
added to J orgensen's 
responsibilities as shift supervisor 
for the KAF Primary Care Clinic 
(acute care) and as a member of 
the first trauma team established 
for urgent surgical needs. 



The hospital and acute care clinic 
are both in tents just off the loud 
and non-stop flight line for quick 
receipt of the critically wounded 
and to also transport patients out of 
theater via medical evacuation 
(Medevac). 

KAF is located approximately 15 
miles from Kandahar, the second 
largest city in the country. 

"A normal day for us is to 
expect to have any number of 
traumas [cases] flown in from all 
over southern Afghanistan," said 
Jorgensen, adding that she has also 
experienced several incoming 
rocket attacks. "As a trauma team 
member, I help to handle and treat 
a lot of critically wounded combat 
casualties that are mostly from 
blast injuries and gunshot wounds." 

Additionally, since selected for 
chief, she became the senior 
enlisted leader. Work and CPO 
Induction were juggled accordingly. 
"Our induction committee members 
were Navy SEALs, as were half of 



Page 6 



our selectees. So they made it clear 
from the beginning that our 
respective missions always came 
first," explained Jorgensen, a native 
of St. Paul, Minn. "With all of us 
working different schedules in 
different areas, it was taxing at 
times to get together. But we still 
managed to communicate, prioritize 
the tasks we were given, and we 
learned to trust each other to build 
a great team of new chiefs." 

Even though the Chief Induction 
process is unmatched in any other 
service, it wasn't completely 
unknown to others in the camp, 
which currently falls under 
leadership of the Canadian armed 
forces. In the joint medical 
command environment, there are 
also Australians, British, Danish, 
Dutch, New Zealand and U.S. Army 
medical personnel, totaling 
approximately 13,000 troops from 
17 countries. 

"Surprisingly, there are even a 

(Continued on page 8) 



HM1 Schaefer Bureau of Medicine and Surgery Sailor of the 
Quarter 



By Bureau of Medicine and Surgery 
Public Affairs 

WASHINGTON - From a cadre 
of exceptional Sailors, Bureau of 
Medicine and Surgery (BUMED), 
headquarters for Navy Medicine, 
selects one of the best of the best 
to receive the Sailor of the 
Quarter award. 

HM1 (FMF) Charles R. Schaefer 
is the Sailor of the Quarter, 2nd 
Quarter, 2009. 

"Petty Officer Schaefer's 
performance is always exemplary," 
said HMCS (AW/FMF) Robert J. 
Myers, MSQSM. "His work ethic is 
infectious; he raises the bar for 
everyone around him. His specific 
contributions impact not just his 
work center, but the work he does 
bears greatly on the U.S. Navy and 
Marine Corps' accessions, 
retentions, reenlistments and 
ultimate end strength. I am very 



proud of HMl(FMF) Schaefer!" 
Schaefer, the Leading Petty 
Officer of Physical Qualifications and 
Standards at BUMED, processed 
over 5,000 enlistment, accession 
and retention, and commissioning 
medical recommendation packages, 
during the quarter. 

"I am honored. It's recognition 
from my supervisors and I 
appreciate it," said Schaefer. He 
added as advice to future Sailors, 
"Keep working and do what you 
need to do. Don't get discouraged." 

At BUMED Schaefer provides 
technical and administrative 
support to 200 field sites and 
through his efforts enhances Navy 
and Marine Corps Fleet readiness 
and the ability to meet operational 
requirements. Schaefer also served 
as the Master of Ceremonies for 
BUMED's celebration of the 111th 
Hospital Corpsmen birthday, June 
17, 2009. During his off-duty hours, 




Schaefer provides first responder 
medical support to the Potomac 
River Dogs and Dulles Astros Little 
League sports teams. 



Issue 10 
October 9, 2009 



Page 7 




WASHINGTON - "The Commandant's 
Own," The United States Marine Drum & 
Bugle Corps performed a noon time concert 
Sept. 16 for personnel at the Navy Bureau 
of Medicine and Surgery as a musical 
'thank you' for BUMEDs 167th anniversary. 
The Drum & Bugle Corps brought the crowd 
to a standing ovation during "Corpsman 
Up," the first piece of music specifically 
written for the corpsmen who keep Marines 
in the fight. (Photo by BUMED Public Affairs 
Specialist, Valerie A. Kremer) 



Bureau of Medicine and Surgery Honors Ombudsman 
Appreciation Day 



By Bureau of Medicine and Surgery Public Affairs 

WASHINGTON - Navy Ombudsman Appreciation Day is 
celebrated every September, recognizing the selfless 
dedication and family support the Ombudsman provides 
to the command. 

"For nearly forty years the Ombudsman program has 
provided constant support, care, and guidance for the 
families of our Sailors. No one is closer to the Navy family 
than the command's ombudsman. Because of their 
outstanding efforts we can provide a greater level of 
support to families through out in Navy Medicine," said 
Vice Adm. Adam M. Robinson. 

Melissa Ford, the wife of Lt. Joseph Ford, clinical social 
worker, deployment health, MSC, is BUMED's command 
ombudsman. Recently completing Ombudsman training, 
Ford is looking forward to reaching out to Sailor's 
families, especially families of individual augmentees and 
families of wounded, ill, and injured. 

"If families are healthy, staff is healthy," said Ford. 
"To keep family resilience, we need to deal with opera- 
tional stress, occupational stress for those at home." 



SEAL Continued. 



(Continued from page 3) 

Program Manager for NSW Group 1, met with Cnossen's 
family before his arrival and assisted in coordinating the 
support elements. 

"His mother has been an incredible pillar of strength 
for him, and the Naval Special Warfare family will 
continue to take care of all its returning Sailors, especially 
heroes like Dan," said Graves. 



The ombudsman is a volunteer, chosen by the 
Commanding Officer. They are the link in the 
communications chain between the command and the 
families of active duty members- including spouses, 
parents, and the extended family. An ombudsman is the 
spouse of an active duty member or selected reserve 
member who is assigned to the command. 

"We need our ombudsman more than ever before as 
the performance of our Sailors depends on mission 
readiness. This is a wonderful opportunity to thank them 
in all the work they do," said Robinson. 

They provide information resources on a variety of 
topics such as employment opportunities, healthcare and 
counseling services, and other services. The 
Ombudsman program is essential to ensure Sailors 
families have the information they need to meet the 
unique challenges of military life. 

On Sept. 14, 1970, then-Chief of Naval Operations, 
Adm. Elmo Zumwalt recognized the issues and concerns 
that are unique to Navy families. In response, Zumwalt 
created the Ombudsman Program. 



Graves, along with his assistant Susan Letterman, 
have been working with numerous military groups, 
including the NSW Foundation and the Care Coalition, to 
ensure his and his family's extra needs are being met. 

Cnossen is a 2002 graduate of the United States 
Naval Academy and Basic Underwater Demolition 
School. He was previously awarded the Bronze Star 
Medal, the Navy and Marine Corps Achievement Medal 
and the J oint Service Achievement Medal. 



Issue 10 
October 9, 2009 



MAJURO, Marshall Islands 

U.S. Navy Rear Ad m. Thomas 
Cullison, deputy surgeon general, 
observes Royal Australian Air 
Force Cpl. Diane Beningfield, a 
dental hygienist embarked aboard 
the Military Sealift Command dry 
cargo/ammunition ship USNS 
Richard E. Byrd (T-AKE 4), as 
she treats a patient during a 
Pacific Partnership 2009 medical 
civic action project in Majuro, 
Marshall Islands, Sept. 11, 2009. 
Pacific Partnership is a 
humanitarian and civil assistance 
mission in the U.S. Pacific Fleet 
area of responsibility. (DoD photo 
by Mass Communication Specialist 
2nd Class Joshua Valcarcel, U.S. 
Navy/ Released) 



Page 8 




Anchors Continued... 



(Continued from page 6) 

lot of Army personnel that 
understand the (CPO Induction) 
process and there are also a lot of 
retired Navy working here as 
government contractors that have 
helped to explain it to the other 
nations," said Jorgensen. 

The mentoring process for 
Jorgensen was handled at KAF as 
well as via email and occasional 
phone call back to NHB. "I had a 
HMCM, MAC, BMC, SWCS, SWC and 
three HMCs guiding me as well as 




NAVY MEDICINE 

World Class Care^.Anytiie, Anywhere 



Bureau of Medicine and Surgery 

2300 E Street NW 
Washington, DC 20372-5300 

Public Affairs Office 

Phone: 202-762-3160 

Fax: 202-762-1705 




the majority of the NHB Chief Petty 
Officer Association and a lot of 
retired chiefs via e-mail and 
occasional phone calls," she said. 

Her deployment is made a bit 
easier by the living conditions in the 
southern region of Afghanistan. 

"They are unbelievable!" she 
exclaimed. "I expected to be stuck 
in a tent with cots packed wall-to- 
wall with little or no privacy. But all 
of the hospital staff are assigned to 
NATO billeting which are two-story, 
blast- proof structures with 
approximately 50 2-person rooms. 
It looks more like a college dorm 
room than something you would 
find in a combat zone. Not every- 
one lives like this though. There are 
a lot of U.S. forces living in 
six-person rooms or in tents with 
bunk beds crammed into them." 

Her time spent in the room is 
limited as her duties have her 
constantly treating many types of 
medical issues. 

"In the acute care clinic, we 
have the usual things we would see 
stateside in an emergency 



department such as sprains, chest 
pain, kidney stones, upper 
respiratory infections and the 
occasional hemorrhagic fever," 
related Jorgensen. But being in the 
birthplace of the Taliban also brings 
those wounded by the war. "One 
experience that stands out is 
working in the trauma bay when we 
had all eight trauma bays filled with 
casualties." 

Jorgensen is one of eight new 
CPOs from NHB out of 61 from 
Navy Medicine West. 

"I had already seen a difference 
even before putting on my anchors 
in the way my enlisted and officers 
interacted with me after 
immediately stepping into the role 
of senior enlisted leader," said 
Jorgensen. 

"It is true when they tell you 
that everyone automatically expects 
you to know everything. Others will 
come with questions and concerns 
that you didn't know about before. 
You're looked at in this whole new 
light and entrusted to ensure the 
well-being of your personnel. And 
that's what I plan to do." 



Got News? If you'd like to submit an article or have an idea for one, 
contact MEDNEWS at 202-762-3160, fax 202-762-1705 orValerie.Kremer@med.navy.mil.